Psychiatry
1. Social phobia is characterized by all of
the following except:
a) Fear of humiliation in front of others
b) Reluctance to eat in public
c) Constricted social activities
d) Antisocial behaviour
e) Fear of being negatively evaluated
by others
2. Which of the following symptoms would
be consistent with a diagnosis of
obsessive-compulsive disorder:
a) Repeatedly calling someone one
believes he/she is in love with
b) Repeatedly seeing images of a
relative who recently died
c) Repeatedly cutting oneself to
relieve tension
d) Having repeated thoughts that one
was God reincarnated
e) Having repeated thoughts that the
house is going to burn down
3. The most common cause of dementia is:
a) Chronic alcohol use
b) Vascular dementia
c) Alzheimer disease
d) B12 deficiency
4. Which of the following statements about
antipsychotics is false?
a) Mechanism of action is through
blocking dopaminergic activity in
brain pathways
b) Atypical (first generation) and
typical (second generation)
antipsychotics are equal in efficacy
c) Typical (first generation)
antipsychotics have more
extrapyramidal side effects
d) Both typical and atypical
antipsychotics need to be monitored
for metabolic side effects
e) Onset of action is approximately the
same for management of agitation
and thought disorders
5. In which of the following disorders are
SSRIs advised not to be administered
alone but only in combination with other
pharmacological agents?
a) Major Depressive Disorder
b) Bipolar Disorder
c) Obsessive Compulsive Disorder
d) Generalized Anxiety Disorder
e) Eating Disorders
6. Which of the following drugs has been
shown to be effective in preventing
suicide?
a) Lithium
b) Haldol
c) Risperidone
d) Fluoxetine
e) Carbamazepine
7. A 40 year-old male states he is feeling
down and is in conflict with his wife. You
elicit he has always been somewhat rigid;
he is a conscientious employee. You note
that he is dressed very neatly and that
while giving you his history he rambles,
giving you all the details.The most likely
personality type described here is:
a) Narcissistic
b) Dependent
c) Passive-aggressive
d) Self-defeating (masochistic)
e) Obsessive-compulsive

8. In panic disorder, studies suggest the

most effective and long-lasting treatment
is:
a) Behaviour therapy
b) Psychoanalysis
c) Diazepam
d) Imipramine
e) Hypnotherapy

9. In panic disorder, studies suggest the

most effective and long-lasting treatment
is:
a) Triazolam
b) Clorazepate
c) Nitrazepam
d) Chlordizepoxide
e) Diazepam

10. All of the following statements are true

about depression in the elderly EXCEPT:
a) Somatic symptoms are frequently
substituted for emotional symptoms
b) Tricyclics should not be used
because of cardiotoxicity
c) Precipitating events are usually
related to loss
d) Some cases may benefit from ECT
e) May present with abnormalities in
cognitive function
ANSWERS
1. D
2. E
3. C
4. E
5. B
6. A
7. E
8. A
9. A
10. B